Procedure guide · Orthopaedic surgery
Shoulder replacement is surgery to replace the bones of the shoulder joint with artificial parts. MedlinePlus describes three main types: total, partial (hemiarthroplasty) and reverse total replacement. It is usually considered for severe pain that limits arm movement, and an orthopaedic surgeon decides which type, if any, suits your shoulder.
What is shoulder replacement?
The shoulder is a ball-and-socket joint. MedlinePlus explains the options:
- Total replacement: the top of the arm bone is replaced with a metal ball on a stem and the socket gets a plastic lining
- Partial replacement (hemiarthroplasty): only one of the two bones is replaced
- Reverse total replacement: the ball and socket swap places, used when the rotator cuff tendons are badly damaged or after some fractures
Who may be considered for shoulder replacement?
MedlinePlus lists conditions that can lead to shoulder replacement. They include osteoarthritis, rheumatoid arthritis, a poor result from earlier shoulder surgery, a badly broken arm bone near the shoulder, badly damaged shoulder tissue and tumours.
It also notes reasons a surgeon may advise against it. These include a history of infection, unhealthy skin around the shoulder and very weak rotator cuff muscles. The condition of your rotator cuff often decides between a standard and a reverse replacement. Your surgeon makes that judgement.
Which reports does a shoulder surgeon usually ask for?
Ask the hospital whether it needs:
- shoulder X-rays from more than one angle
- an MRI or ultrasound showing the rotator cuff
- a CT scan if you have had one, as it shows bone stock and the socket
- operation notes from any earlier shoulder surgery
- a note on your pain and which arm movements are limited
- general health reports and a medicine list
How do I plan a shoulder replacement trip?
MedlinePlus describes a hospital stay of a few days with physical therapy to prevent stiffness. It says the arm is kept in a sling for some weeks with no active movement, and that strengthening exercises begin later. Those are general figures. Your surgeon sets your timeline.
The sling has practical effects. You will not be able to lift luggage, dress easily or manage some daily tasks with one arm. An attendant is essential. Choose clothing that opens at the front and accommodation with simple facilities. MedlinePlus stresses that home exercises must be done exactly as taught, because the wrong ones can injure the new shoulder. Ask for the programme in writing and arrange a physiotherapist at home before you go.
What should I ask the hospital before booking?
- Which type of replacement do you recommend and why?
- What does my rotator cuff look like on the scans?
- How long will I wear a sling and when may I fly?
- Which exercises are safe in the first weeks?
- Will I receive the implant details and operation note?
- Who should my physiotherapist at home contact with questions?
Who decides
IndiaMedica does not give medical advice. Your treating specialist decides whether this procedure suits you, the treatment plan, how long you stay and when it is safe to fly.
Questions people ask
What is a reverse shoulder replacement?
In a reverse replacement the positions of the ball and socket are swapped. MedlinePlus explains that it is used when the rotator cuff tendons are badly damaged or when there are certain fractures. Your surgeon decides whether it suits your shoulder.
How long does a new shoulder last?
MedlinePlus says a new shoulder joint can last at least 10 years with normal use. How long yours lasts depends on activity, bone health and other factors. Keep your implant details and follow your surgeon’s advice on activities to avoid. Tell any future surgeon or dentist that you have a shoulder implant.
Sources
General information, not medical or legal advice. Rules change: confirm with the official source. Your treating specialist decides on suitability, treatment and length of stay. How we write and check.